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r �I A (1111 Environmental Health Department <br /> CC)UNTY I <br /> Gf$oLn@SSfwS hemTime In: 10.41 am <br /> Time Out: 11:05 am <br /> Food Program Official Inspection Report <br /> Name of Facility: MUSD-AUGUST KNODT SCHOOL Date: 10/18/2021 <br /> Address: 3939 E W S WOODS BLVD, STOCKTON 95206 <br /> Owner/Operator: MANTECA UNIFIED SCHOOL DISTRICT Telephone: (209)825-3200 <br /> Program Element: 1632-EXEMPT FOOD <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS:There is ice accumulation in the walk-in freezer. Identify source of leak and repair as needed. <br /> CALCODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair. (114175).All utensils and equipment <br /> shall be approved,installed properly,and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Donna Flores Expiration Date: May 19,2026 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 130°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 door Traulsen--41.00°F restroom hand sink--130.00°F <br /> milk cooler--41.00°F 1 comp prep sink--121.00°F <br /> 1 door Traulsen--39.00°F burgers at hot hold--136.00°F <br /> flaquitos at hot hold--137.00°F <br /> NOTES <br /> wiping cloth bucket 100 ppm Cl /Cl sanitizer test strips are available <br /> Lunch is served 11:20-12:50pm <br /> Facility's hot food is transported in from Weston Ranch High School-transport arrives around 10:30am <br /> Additional Food Safety Certificate: Merry Chandra-expires 7-28-2025 <br /> No signature obtained <br /> Report typed up in the office 3:07p-3:16pm <br /> FA0006817 PR0505500 SCO01 10/18/2021 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 2 Food Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />